| Rose Family Practice Llc | |
|
3340 Topaz St Ste 100 Las Vegas NV 89121-3906 | |
| (702) 738-9809 | |
| Not Available |
| Full Name | Rose Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3340 Topaz St Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Nirouz Misherfi (OWNER) |
| Authorized Official Contact | 7029717531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Family Practice Llc 3340 Topaz St Ste 100 Las Vegas NV 89121-3906 Ph: (702) 970-7531 | Rose Family Practice Llc 3340 Topaz St Ste 100 Las Vegas NV 89121-3906 Ph: (702) 738-9809 |
| NPI Number | 1295419638 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 3577912377 |
|---|---|
| Medicare Enrollment ID | O20231205002631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295419638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rosemary A Nowins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831239524 PECOS PAC ID: 8628237542 Enrollment ID: I20120313000833 |
| Provider Name | Jean-marie Swaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265805634 PECOS PAC ID: 8628374832 Enrollment ID: I20160315001693 |
| Provider Name | Cecilio P Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871947291 PECOS PAC ID: 4082993696 Enrollment ID: I20210916002025 |
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